Despite countless diets, and sincere efforts at weight loss, Americans are getting heavier each year. Obesity is one of the leading causes of preventable death in the US, second only to tobacco.

Research published today in The Journal of Bone and Joint Surgery, British Volume summarises a number of recently developed techniques for patients that can avoid the need for knee replacements. Osteotomies around the knee had until the 1990's fallen out of favour with surgeons and knee replacement were performed instead, partly due to the complexities surrounding this treatment.

A little over a year ago, I was killing time on an elliptical machine at a local gym, using a wristwatch heart rate monitor to track the workout. The monitor had settings for my age, weight, sex and height, and kept a running count of the estimated number of calories used.

The report, which dates from last March, adds more weight to the argument that 'bogus' weight loss supplements are damaging the overall industry. Mintel values the US weight control market - including supplements and foods - at $3.7bn.

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